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Hale Kokua, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Mateo, California
NPI 1174720072

Hale Kokua, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in San Mateo, CA. Hale Kokua, Inc. practices in San Mateo, CA. The NPI Number for Hale Kokua, Inc. is 1174720072 and holds a License No. 220000319 (California).

The current practice location address for Hale Kokua, Inc. is 516 Ocean View Ave, San Mateo, CA and can be reached out via phone at 650-347-1164. You can also correspond with Hale Kokua, Inc. through the mailing address at 1433 DAKOTA AVENUE, SAN MATEO, CA - 94401 (mailing address contact number: 650-685-4779).

Location: 516 Ocean View Ave, San Mateo, CA, 94401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174720072
Provider Name
Hale Kokua, Inc.
Credential
Provider Entity Type
Organization
Address
516 Ocean View Ave, San Mateo, CA, 94401
Phone Number
650-347-1164
Fax Number
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60671G 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
516 Ocean View Ave
City
San Mateo
State
California
Zip
94401-3029
Phone Number
650-347-1164
Fax Number
person
Provider Business Mailing Address Details
Address
516 Ocean View Ave
City
San Mateo
State
California
Zip
94401-3029
Phone Number
650-347-1164
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
220000319 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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